This morning at 4 the pain became unbearable for Fil. Her jaw slid out of place one last time and locked firmly in a disfiguring grimace. This time we did some finger-walking and contacted Br@ckenridge (the county trauma center and a very well known low-income hospital, unlike StD@vid’s that very much so caters to those with real insurance). Of course they had her come in, but there was more hope that they would just fix her.
So we bundled up and drove down deserted roads to Br@ck where it became plainly obvious that she was in waaay more pain than anyone else in the ER (even the woman in labor was chill compared to Fil). I think because of her obvious pain/discomfort they whisked her back faster than they would have normally (note: at StD@vid’s they made her wait for.ev.er to get back, they made her sit in the waiting room, rocking back and forth, sobbing and screaming for help. Yeah, that’s nice) and got her a room with relative speed.
To my chagrin we were put in a room RIGHT in front of the nurses station. The night shift at ANY is known to be chatty and jocular, a little less serious because they deal with the weird shit that rolls in at midnight. But at that moment it was so innapropriet to chat about breakfast while Fil’s screams of pain got ignored. I think it was the hardest visit so far, because she’s reached the end of her proverbial rope. The pain was so excrutiating that she was shaking with tears and had to move to make the pain lessen a little.
Her first doctor was hugely pregnant. Now, obviously I have nothing against pregnant women who work, I think it’s fabulous and go girls! but SERIOUSLY!? Putting a pregnant doctor on a physical case like a jaw dislocation just doesn’t seem… right. She was also AWFUL. More flippant and ignorant that Dr. Buch (the first one) and just awful compared to Dr. Boo (the second doctor who reset her jaw). No one seemed to kick into gear until the shift change happened at 6 and a new doctor grabbed her case. I’ve never been so happy to see a towering Germanic man in all my life. He was beyond nice, he was wonderful. Dr. Z put Fil in such deep sleep she doesn’t even remember much of the hospital, including the unbelievable pain. He reset her jaw 3 times, 2 time this tech, Paul, watched over her and made sure she breathed. He was marvelous and something about his eyes, the way he unyieldingly cared for Fil in that moment, sacrificing comfort and entertainment (there were a few techs just lousing about not 4 yards away) to make sure Fil didn’t succumb to apnea.
The best part about having gone to Br@ack is that they didn’t just talk over Fil. They talked to her, even when she was drugged. They talked to me, kept me sane when she was under for a long time. Dr. Z didn’t ignore my concerns or comments, he expounded as much information that he had and never once grimaced or flinched when he had to come back in to reset her jaw. I could have cried (if I hadn’t already spent all my tears having a panic attack) they were all so lovely. It almost erased the fact that Dr. HugeBelly was a total ass. Almost.
Dr. Z was able to get Fil in to see an oral surgeon, one who pledged to see her, or if not him, someone in his practice. The 4th time it dislocated he left it out and phoned the surgeon who told us to go directly to him once she was discharged. And that we did. We flew down the streets like a bat out of hell. Fil was groggy, exhausted and worse of all, in pain. We got to the office and they threw a lot of paperwork at us. Eventually she got x-rays done and taken back to see the doctor. I was so relieved that I finally got about 20 minutes of sleep… right there… in the waiting room. But I realised that was a slippery slope so I got a cola to wake me up.
I got called back at about 10ish because Fil was apparently incredibly upset. When I walked into the room she was sobbing, hard. Apparently, the surgeon (Dr. H) doesn’t do jaw surgery. He’s just a wisdom teeth/replacement teeth kin of guy who hasn’t touched a jaw in forever. I was so disgusted and angry that he even agreed to see her I wanted to punch him in the face. But, after a LOT of crying and holding Fil, the doctor finally saw us together and we got a breakdown of what we can do.
Since he can’t physically do anything for her other than help reduce the muscular inflammation, he got us the names of two possible candidates to get Fil into a surgeon/dentist’s office. In Austin there’s a CHC, community health center, that provides limited assistance to those who have insurance (i.e. medicaid) but don’t have the money to pay for things out of pocket. It’s sliding scale fees, so since Fil makes no money as she hasn’t worked in almost 7 months, she’d have to pay a very small amount. It’s not nearly as good as the M.A.P card, but since she has medicaid it’s a no-go. But the CHC might just be the supplemental aid we need to get her going places. At LEAST a dentist.
There’s also an Oral/Maxillofacial Surgery school in San Antonio that might be able to see Fil and do surgery for free. There’s definitely a wait list, but from what I understand (what my dad told me) is that they’re able to do urgent care, which I’m sure being unable to eat qualifies as urgent.
While it is in San Antonio, it’s still a good long ways away. I don’t doubt that we could find help getting the gas and the hotel, we have an amazing support network of friends, family and even people we don’t know pitching for us. But it’s just the thought of being so far from home and not being able to bring Fil directly to the comfort of her bed after surgery that makes me queasy.
I’m so tired I could scream. Our 3rd ER visit in under 5 days. It feels like those Medical Mystery shows where this person is running from place to place begging for help and no one seems to be able to. I’m relieved to know that there are people who are explicitly on our side, helping us find care and giving us all the love in the world. I only hope… and pray that things get better soon. How will we survive like this for much longer?